Summary table of common benign breast diseases and how to manage them.
Fibroadenoma:
• Most common benign tumour of breast
• Commonly in women aged 15-35
• Firm, smooth, rubbery and defined
• High mobile - "breast mouse"
• Painless
• May be multiple and bilateral
Breast cyst:
• Arise from terminal duct lobular unit
• Most common in perimenopausal women aged 35-50
• Fluid-filled, round mass
• Not fixed to surrounding tissue
• Can be painful
Fat necrosis:
• Fibrosis and calcification of fat cells after trauma to breast e.g. biopsy, car accident
• Painless firm lump
• May have area of bruising/erythema/sign of trauma
Breast abscess:
• Collection of pus just under skin
• Associated with breastfeeding and mastitis
• Usually caused by staph aureus
• Hot, painful swelling
• Patient may have fever
Lipoma:
• Benign tumour of fat cells
• Present as soft, non-tender, well-circumscribed mass
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